ATI RN COMPREHENSIVE PREDICTOR EXAM 2026 NGN-Style Practice Test Bank — 300 Questions
With Verified Answers & Detailed Rationales
TABLE OF CONTENTS
| Section | Domain | Questions |
|---------|-------|-----------|
| I | Management of Care & Ethical/Legal Principles | 1–35 |
| II | Safety & Infection Control | 36–60 |
| III | Health Promotion & Maintenance | 61–85 |
| IV | Psychosocial Integrity | 86–105 |
| V | Basic Care & Comfort | 106–125 |
| VI | Pharmacological & Parenteral Therapies | 126–155 |
| VII | Reduction of Risk Potential | 156–185 |
| VIII | Physiological Adaptation | 186–220 |
| IX | NGN Case Studies – Extended Scenarios | 221–260 |
| X | Comprehensive Review & Prioritization | 261–300 |
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EXAM OVERVIEW
Exam Name: ATI RN Comprehensive Predictor 2026
Total Questions: 300
Format: Multiple-choice, NGN case studies, ordered response, fill-in-the-blank
Academic Year: 2025/2026
,Key Content Areas:
- Management of Care – Client rights, advocacy, delegation, ethics, legal responsibilities
- Safety & Infection Control – Emergency preparedness, incident reporting, standard
precautions
- Health Promotion & Maintenance – Developmental stages, health screenings, disease
prevention
- Psychosocial Integrity – Therapeutic communication, coping mechanisms, mental health
disorders
- Basic Care & Comfort – ADLs, nutrition, mobility, hygiene, sleep/rest
- Pharmacology – Medication administration, adverse effects, drug interactions
- Reduction of Risk Potential – Diagnostic tests, therapeutic procedures, vital signs
- Physiological Adaptation – Pathophysiology, acute/chronic conditions, fluid/electrolyte balance
- NGN Case Studies – Extended clinical scenarios with multiple question types
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SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
Questions 1–35
---
Question 1
A competent adult client refuses a blood transfusion based on religious beliefs. The client's
hemoglobin level is 6.8 g/dL, and the provider has ordered a transfusion. Which of the following
actions should the nurse take?
,A) Administer the transfusion because it is medically necessary
B) Notify the provider of the client's refusal and respect the client's decision
C) Ask the client's family to convince the client to accept the transfusion
D) Document the refusal and administer the transfusion with a family member's consent
Correct Answer: B
Rationale: A competent adult client has the legal and ethical right to refuse treatment, even if it
is life-sustaining. The nurse must respect the client's autonomy, notify the provider, and explore
alternative treatments. The client's decision should be documented and witnessed.
Administering against the client's will (A) constitutes battery. Family members (C) cannot
override a competent adult's decision.
---
Question 2
A nurse is preparing to delegate a task to an assistive personnel (AP). Which of the following
tasks is appropriate to delegate?
A) Administering oral medications to a stable client
B) Assisting a client with ambulation using a gait belt
C) Inserting an indwelling urinary catheter
D) Performing a sterile dressing change
Correct Answer: B
, Rationale: Assisting with ambulation using a gait belt is within the scope of practice for AP.
Administering medications (A), inserting a catheter (C), and performing sterile dressing changes
(D) require nursing judgment and are not appropriate to delegate.
---
Question 3
A nurse is caring for a client who is scheduled for surgery and has signed an informed consent
form. The client now states, "I don't understand what the surgeon is going to do." Which of the
following actions should the nurse take?
A) Explain the procedure to the client in simple terms
B) Notify the surgeon that the client has questions about the procedure
C) Ask the client to sign the consent form again
D) Proceed with the surgery as scheduled
Correct Answer: B
Rationale: Informed consent requires that the client fully understands the procedure, risks,
benefits, and alternatives. It is the surgeon's responsibility to provide this information. The
nurse should notify the surgeon so that the client's questions can be answered before
proceeding.
---
Question 4
A nurse is caring for a client who has a terminal illness and requests information about advance
directives. Which of the following statements should the nurse make?
With Verified Answers & Detailed Rationales
TABLE OF CONTENTS
| Section | Domain | Questions |
|---------|-------|-----------|
| I | Management of Care & Ethical/Legal Principles | 1–35 |
| II | Safety & Infection Control | 36–60 |
| III | Health Promotion & Maintenance | 61–85 |
| IV | Psychosocial Integrity | 86–105 |
| V | Basic Care & Comfort | 106–125 |
| VI | Pharmacological & Parenteral Therapies | 126–155 |
| VII | Reduction of Risk Potential | 156–185 |
| VIII | Physiological Adaptation | 186–220 |
| IX | NGN Case Studies – Extended Scenarios | 221–260 |
| X | Comprehensive Review & Prioritization | 261–300 |
---
EXAM OVERVIEW
Exam Name: ATI RN Comprehensive Predictor 2026
Total Questions: 300
Format: Multiple-choice, NGN case studies, ordered response, fill-in-the-blank
Academic Year: 2025/2026
,Key Content Areas:
- Management of Care – Client rights, advocacy, delegation, ethics, legal responsibilities
- Safety & Infection Control – Emergency preparedness, incident reporting, standard
precautions
- Health Promotion & Maintenance – Developmental stages, health screenings, disease
prevention
- Psychosocial Integrity – Therapeutic communication, coping mechanisms, mental health
disorders
- Basic Care & Comfort – ADLs, nutrition, mobility, hygiene, sleep/rest
- Pharmacology – Medication administration, adverse effects, drug interactions
- Reduction of Risk Potential – Diagnostic tests, therapeutic procedures, vital signs
- Physiological Adaptation – Pathophysiology, acute/chronic conditions, fluid/electrolyte balance
- NGN Case Studies – Extended clinical scenarios with multiple question types
---
SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
Questions 1–35
---
Question 1
A competent adult client refuses a blood transfusion based on religious beliefs. The client's
hemoglobin level is 6.8 g/dL, and the provider has ordered a transfusion. Which of the following
actions should the nurse take?
,A) Administer the transfusion because it is medically necessary
B) Notify the provider of the client's refusal and respect the client's decision
C) Ask the client's family to convince the client to accept the transfusion
D) Document the refusal and administer the transfusion with a family member's consent
Correct Answer: B
Rationale: A competent adult client has the legal and ethical right to refuse treatment, even if it
is life-sustaining. The nurse must respect the client's autonomy, notify the provider, and explore
alternative treatments. The client's decision should be documented and witnessed.
Administering against the client's will (A) constitutes battery. Family members (C) cannot
override a competent adult's decision.
---
Question 2
A nurse is preparing to delegate a task to an assistive personnel (AP). Which of the following
tasks is appropriate to delegate?
A) Administering oral medications to a stable client
B) Assisting a client with ambulation using a gait belt
C) Inserting an indwelling urinary catheter
D) Performing a sterile dressing change
Correct Answer: B
, Rationale: Assisting with ambulation using a gait belt is within the scope of practice for AP.
Administering medications (A), inserting a catheter (C), and performing sterile dressing changes
(D) require nursing judgment and are not appropriate to delegate.
---
Question 3
A nurse is caring for a client who is scheduled for surgery and has signed an informed consent
form. The client now states, "I don't understand what the surgeon is going to do." Which of the
following actions should the nurse take?
A) Explain the procedure to the client in simple terms
B) Notify the surgeon that the client has questions about the procedure
C) Ask the client to sign the consent form again
D) Proceed with the surgery as scheduled
Correct Answer: B
Rationale: Informed consent requires that the client fully understands the procedure, risks,
benefits, and alternatives. It is the surgeon's responsibility to provide this information. The
nurse should notify the surgeon so that the client's questions can be answered before
proceeding.
---
Question 4
A nurse is caring for a client who has a terminal illness and requests information about advance
directives. Which of the following statements should the nurse make?
